Individual provider Active NPI

Lalaine Ramirez-Hom, M.D.

  • Internal Medicine Physician
  • Effingham, IL
National Provider Identifier
1669408209
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036095885 Issued in IL
Practice address
1901 S 4TH St
Effingham, IL 62401-4187
Phone
(217) 347-7600
Fax
(217) 342-9733
NPI assigned
Jun 24, 2006
Last updated
Jan 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036095885 IL Primary

Addresses

Primary practice location

1901 S 4TH St
Effingham, IL 62401-4187

Mailing address

911 Ashwood Dr
Effingham, IL 62401-5101
Phone (217) 342-3153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160302001776 IL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2860670072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036095885ILMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1669408209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 ASHWOOD DR",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624015101",
            "telephone_number": "217-342-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S 4TH ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624014187",
            "telephone_number": "217-347-7600",
            "fax_number": "217-342-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ-HOM",
        "first_name": "LALAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036095885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.